Official American Kennel Club Scent Work Trial Entry Form
Wichita Kennel Club - Nov 8, 9, 10, 2024
Owner's Information
Owner's Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
Confirmation Email
Confirm your email is typed correctly.
Phone Number
*
Please enter a valid phone number.
Handler's Name (if different from Owner listed above) -
First Name
Last Name
Junior Handler Number (if applicable) -
Junior's AKC #
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Phone Number
*
Please enter a valid phone number.
Dog's Information
AKC Registered Name
*
Name & prefix titles only, no suffix titles please.
AKC Registration Number
*
Dog's Call Name
*
Dog's Date of Birth
*
/
Month
/
Day
Year
Dog's Sex
*
Male
Female
Dog's Breed (& Variety if applicable)
*
Name(s) of Dog's Breeder(s)
Sire
Dam
AKC Agreements
Signature of the owner or his/her agent duly authorized to make this entry -
*
Type your name to serve as your digital signature.
Class Entry
Friday, November 8, 2024 - Event #2024060019
Buried
Interior
Exterior
Containers
Handler Discrimination
Novice A
Novice B
Advanced
Excellent
Master
Saturday, November 9, 2024 - Event #2024060020
Buried
Interior
Exterior
Containers
Handler Discrimination
Novice A
Novice B
Advanced
Excellent
Master
Sunday, November 10, 2024 - Event #2024060021
Buried
Interior
Exterior
Containers
Handler Discrimination
Novice A
Novice B
Advanced
Excellent
Master
Detective - Events #2024060019, #2024060020, #2024060021
Friday, November 8, 2024
Saturday, November 9, 2024
Sunday, November 10, 2024
Detective
Online Payment
Convenience fees charged for online entries are non-refundable.
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Single Run Entry
Price per single run for any level, any element/HD (except Detective). Change the quantity to the number of runs you are entering for the entire 3 days of the trial. For example, entering Novice A all 4 elements +HD for all 3 days is 5 runs per day x 3 days = 15 runs.
$
23.50
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Item subtotal:
$
0.00
Junior Handler Single Run Entry
Junior Handlers only - must include your AKC Junior Handler Number to be considered a valid entry. Price per single run for any level, any element/HD (except Detective). Change the quantity to the number of runs you are entering for the entire 3 days of the trial. For example, entering Novice A all 4 elements +HD for all 3 days is 5 runs per day x 3 days = 15 runs.
$
13.00
Quantity
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Item subtotal:
$
0.00
Detective Level -Single Run Entry
Price per single Detective Level run. Change the quantity to the number of runs you are entering for the entire 3 days of the trial. For example, entering Detective for all 3 days is 1 run per day x 3 days = 3 runs.
$
47.25
Quantity
1
2
3
Item subtotal:
$
0.00
Payment Methods
Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Please click one of the PayPal options to complete payment and
submit
the form.
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